Implementation of a Proof-of-Concept Virtual Reality Medical Simulation Training Capability for USAF Pararescuemen

High-fidelity medical simulation training is one of the few evidence-based interventions demonstrated to reduce medical errors and improve trainee readiness for medical techniques, tactics, and procedures. Additionally, simulation training provides a realistic setting to assess student skills. Debrief sessions immediately after a simulation exercise also allow timely feedback to teach gaps in knowledge and reinforce correct behaviors. In this research, we report our preliminary investigation into the adaptation of a commercially available civilian virtual reality (VR) medical simulation training platform for use in a novel curriculum for United States Air Force (USAF) Pararescuemen (PJs). An interprofessional clinical educator working group was formed, consisting of the Principal Investigator, emergency physicians, emergency medical technicians, emergency physician assistants, registered nurses, USAF Pararescuemen, and a USAF Pararescue Medical Director, which collaborated on the specification phase of the project. In the specification phase, the learner population was identified, a scenario and environmental overview was created, and specific learning goals were identified, with cross-references to appropriate tactics, techniques, and protocols (TTPs). The scenarios were then implemented and evaluated during training exercises by the PJs and Combat Controllers at Hurlburt Field AFB. The developed curriculum included the following scenarios: chest pain, airway burn, anaphylaxis, asthma exacerbation, blast injury, blunt trauma, heat stroke, helicopter transport, high altitude pulmonary edema, pediatric abdominal pain, and penetrating trauma. Various virtual environments were also developed, such as the interior of HH-60 and the urban battlefield. These scenarios underwent initial testing and evaluation during PJ training exercises and were well received by students and faculty as a useful addition to provide realistic field simulation and assessment. Based on this result, an expanded capability is currently being developed and evaluated.